The objective of the study was to portray the face of local community-level extreme poverty instead of giving poverty statistics or analyzing national and international poverty statistical data. The area chosen was the households from the extremely poor segments of Peshawar, Pakistan with a sample size of 294 respondents. The sample respondents were workers, pushcart based sellers and daily wage earners but not beggars. A scorecard methodology was used to identify the extreme poverty conditions, and describe their living conditions ranging from hunger to poor health, poor living and education conditions. The findings highlight the intensity of deprivation and provide evidence of the peculiar features of extreme poverty in the sample. More than 90% of the sample was living on less than the 2015 based poverty line of Rs 131 per capita equivalent to US$ 1.25 per capita. In creating awareness about it, the study aspires to elicit civil society’s response to such an extreme level of poverty where hunger and malnutrition runs high considering average basic food prices. Keywords: Poverty, Extremely Poor, Scorecard, Survey.